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Freakonomics, M.D.

26. When is a ‘High-Risk’ Pregnancy a Good Thing?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 25 February 2022

⏱️ 33 minutes

🧾️ Download transcript

Summary

Giving birth in the United States can be dangerous for both moms and their kids. Sometimes, that's because of too little medical care — and sometimes, it’s the opposite.

Transcript

Click on a timestamp to play from that location

0:00.0

When Jessica Cohen was pregnant with her first child, her blood pressure started to rise.

0:09.6

She knew that could be a sign of pre-eclampsia, a serious condition that obstetricians are

0:14.2

always on the watch for.

0:16.5

But her doctor suggested she come in for some extra blood pressure checks during her pregnancy.

0:21.5

That was it.

0:22.9

When she was pregnant with her second child, the same thing happened again.

0:27.5

This time, her OB had a very different response.

0:31.4

In addition to bringing me in multiple times for blood pressure checks, multiple times

0:36.1

a week, they were doing detailed ultrasounds, doing what are called antinatal fetal surveillance

0:42.6

checks and checking the health of the placenta and keeping very careful track of how the pregnancy

0:48.6

was going.

0:49.8

The response was so different the second time around because of one simple fact.

0:54.9

Jessica was now over age 35.

0:58.5

That meant she was labeled as AMA, Advanced Maternal Age.

1:03.2

In other words, she was high risk, and it made a huge difference, not only during her pregnancy,

1:09.3

but also her delivery.

1:11.1

I had many machines that beeped.

1:12.8

I was definitely connected to many wires.

1:15.6

I probably had a pretty medicalized birth, but it all ended okay.

1:21.9

Jessica isn't complaining.

1:23.6

She was happy to have the extra precautions, and she welcomed a healthy baby boy into

1:28.2

the world.

...

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